| Country Crossroads Counseling Llc | |
|
441 Nw Hwy W Kingsville MO 64061 | |
| (816) 308-0246 | |
| (816) 566-0486 |
| Full Name | Country Crossroads Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 441 Nw Hwy W, Kingsville, Missouri |
| Authorized Official Name and Position | Susie Arbo (OWNER OF COUNTRY CROSSROADS COUNSEL) |
| Authorized Official Contact | 5075303269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Crossroads Counseling Llc P.o. Box 114 Lone Jack MO 64070 Ph: (816) 308-0246 | Country Crossroads Counseling Llc 441 Nw Hwy W Kingsville MO 64061 Ph: (816) 308-0246 |
| NPI Number | 1952705444 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 1153850961 |
|---|---|
| Medicare Enrollment ID | O20250123002390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952705444 | NPI | - | NPPES |
| 1952705444 | Other | MO | BUSINESS ISSUED |
| 25265365 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Geni Harms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548649346 PECOS PAC ID: 2567748031 Enrollment ID: I20170418000240 |
| Provider Name | Hayley C Chorice Tlamka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356860225 PECOS PAC ID: 5395179279 Enrollment ID: I20191231001295 |
| Provider Name | Mallory Langkrahr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316609647 PECOS PAC ID: 4082070727 Enrollment ID: I20230522003143 |
| Provider Name | Kelsie Rachelle Carlton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851056261 PECOS PAC ID: 4789114307 Enrollment ID: I20250212001774 |
| Provider Name | Amanda Marie Struchtemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255184826 PECOS PAC ID: 1355861469 Enrollment ID: I20250219003209 |
| Provider Name | Sharyl Diane Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912293481 PECOS PAC ID: 7214457357 Enrollment ID: I20250220000299 |
| Provider Name | Jonathon Stackhouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710692819 PECOS PAC ID: 6305366287 Enrollment ID: I20250221002461 |
| Provider Name | Rachel Ann Dinges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639887250 PECOS PAC ID: 1951821776 Enrollment ID: I20250225000125 |
| Provider Name | Jessica A Janis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457984379 PECOS PAC ID: 3678093184 Enrollment ID: I20250226003345 |
| Provider Name | Sarah Katherine Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245088905 PECOS PAC ID: 0345760864 Enrollment ID: I20250226003668 |
| Provider Name | Jaime Kathleen Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679128631 PECOS PAC ID: 0345760757 Enrollment ID: I20250227002990 |
| Provider Name | Mandy Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093205908 PECOS PAC ID: 6002336484 Enrollment ID: I20250228002031 |
| Provider Name | Kimberly Sue Stark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972289270 PECOS PAC ID: 5799206058 Enrollment ID: I20250304001139 |
| Provider Name | Avery C Lough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679170971 PECOS PAC ID: 2961923115 Enrollment ID: I20250305000482 |
| Provider Name | Katie Marie Becker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841720851 PECOS PAC ID: 2062933328 Enrollment ID: I20250305003261 |
| Provider Name | Joy Kathleen Midgett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245717545 PECOS PAC ID: 5597286567 Enrollment ID: I20250306001044 |